The choice of anaesthetic technique and the selection of appropriate anaesthetic drugs should be guided by indication for surgery, nature, and site of the surgical procedure. Volatile anaesthetics such as halothane, sevoflurane, desflurane and isoflurane are shown to inhibit the uterine contractility, which may prove beneficial in preventing preterm contractions. During anaesthesia and surgery, foetal well-being is best ensured by careful maintenance of stable maternal haemodynamic parameters and oxygenation. Close monitoring of foetal responses for signs of distress is strongly advocated.

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